Opioid overdose deaths flat in Mass., despite surge in fentanyl (copy)

New data indicates that Massachusetts has made some progress in beating back the tide of opioid-overdose deaths. The number of fatal overdoses during the first six months of 2021 is down about 5 percent, compared with the first half of 2020, according to a report from the state Department of Public Health.

Preliminary Department of Public Health data shows that 1,038 people died of opioid overdoses during the first six months of this year, an estimated 5 percent decrease from the same period in 2020.

The preliminary data, presented by Acting DPH Commissioner Margret Cooke at a Public Health Council meeting Wednesday, includes confirmed deaths and those estimated through a modeling process.

Cooke said the rate of opioid-overdose deaths in Massachusetts increased 5 percent from 2019 to 2020, landing at 30.2 deaths per 100,000 residents, or slightly below the 2016 peak of 30.6.

She said overdose deaths "have remained relatively stable" since 2016, despite a rise in the presence of the powerful synthetic opioid fentanyl, which, in 2020, was recorded in 92 percent of fatal overdoses where a toxicology screen occurred.

The state's opioid data, previously released quarterly, now is published online twice a year, with the next report due in November. In May, the DPH reported a total 2,104 confirmed and estimated opioid deaths in 2020.

Cooke's presentation Wednesday showed 1,089 confirmed and estimated deaths during the first six months of 2020.

Leigh Simons Youmans, the senior director of health care policy at the Massachusetts Health and Hospital Association, said the figures discussed Wednesday "demonstrate that the opioid crisis in Massachusetts is still just that: a crisis." She encouraged people to "check in with those in their lives who may be battling substance use disorders and help them find the resources they need."

"Our healthcare leaders and front-line providers continue to report that the virus has been a driver for substance use and personal mental health crises — particularly among people of color and individuals living in underserved areas," she said in a statement.

Data presented to the council showed that confirmed opioid-overdose death rates "increased significantly" for Black non-Hispanic males from 2019 to 2020, while decreasing for white non-Hispanic males.

The overdose death rate for women rose in 2020, and the increase was higher for Hispanic and Black non-Hispanic women than for white non-Hispanic women.

Cooke said the Bureau of Substance Addiction Services plans to invest $40 million over the next four years "specifically for expanding access and enhancing services for Black, Indigenous and people-of-color communities."

Dr. Edward Bernstein, a gubernatorial appointee to the Public Health Council and emergency medicine professor at the Boston University School of Medicine, asked during the meeting what the state has learned about the most effective practices for addressing opioids.

"I get letters from the Black community saying, you know, we've tried all this, what's going to change?" he said.

Bernstein said access to mental health services, housing, jobs and education are all "key elements" and advocated for an approach that goes beyond public health alone to also involve community engagement.

Cooke said she agreed and that the state is "putting significant dollars" into a housing-first program that has been "seeing some great success."