#hope

[reasonsforhope]

"For the first time in decades, public health data shows a sudden and hopeful drop in drug overdose deaths across the U.S.

"This is exciting," said Dr. Nora Volkow, head of the National Institute On Drug Abuse [NIDA], the federal laboratory charged with studying addiction. "This looks real. This looks very, very real."

National surveys compiled by the Centers for Disease Control and Prevention already show an unprecedented decline in drug deaths of roughly 10.6 percent. That's a huge reversal from recent years when fatal overdoses regularly increased by double-digit percentages.

Some researchers believe the data will show an even larger decline in drug deaths when federal surveys are updated to reflect improvements being seen at the state level, especially in the eastern U.S.

"In the states that have the most rapid data collection systems, we’re seeing declines of twenty percent, thirty percent," said Dr. Nabarun Dasgupta, an expert on street drugs at the University of North Carolina.

According to Dasgupta's analysis, which has sparked discussion among addiction and drug policy experts, the drop in state-level mortality numbers corresponds with similar steep declines in emergency room visits linked to overdoses.

Dasgupta was one of the first researchers to detect the trend. He believes the national decline in street drug deaths is now at least 15 percent and could mean as many as 20,000 fewer fatalities per year.

"Today, I have so much hope"

After years of wrenching drug deaths that seemed all but unstoppable, some researchers, front-line addiction workers, members of law enforcement, and people using street drugs voiced caution about the apparent trend.

Roughly 100,000 deaths are still occurring per year. Street drug cocktails including fentanyl, methamphetamines, xylazine and other synthetic chemicals are more poisonous than ever.

"I think we have to be careful when we get optimistic and see a slight drop in overdose deaths," said Dan Salter, who heads a federal drug interdiction program in the Atlanta-Carolinas region. "The last thing we want to do is spike the ball."

But most public health experts and some people living with addiction told NPR they believe catastrophic increases in drug deaths, which began in 2019, have ended, at least for now. Many said a widespread, meaningful shift appears underway.

"Some of us have learned to deal with the overdoses a lot better," said Kevin Donaldson, who uses fentanyl and xylazine on the street in Burlington, Vermont.

According to Donaldson, many people using fentanyl now carry naloxone, a medication that reverses most opioid overdoses. He said his friends also use street drugs with others nearby, ready to offer aid and support when overdoses occur.

He believes these changes - a response to the increasingly toxic street drug supply - mean more people like himself are surviving.

"For a while we were hearing about [drug deaths] every other day. When was the last one we heard about? Maybe two weeks ago? That's pretty few and far between," he said.

His experience is reflected in data from the Vermont Department of Health, which shows a 22 percent decline in drug deaths in 2024.

"The trends are definitely positive," said Dr. Keith Humphreys, a nationally respected drug policy researcher at Stanford University. "This is going to be the best year we've had since all of this started."

"A year ago when overdose deaths continued to rise, I was really struggling with hope," said Brad Finegood, who directs the overdose crisis response in Seattle.

Deaths in King County, Washington, linked to all drugs have dropped by 15 percent in the first half of 2024. Fatal overdoses caused by street fentanyl have dropped by 20 percent.

"Today, I have so much hope," Finegood said.

-via NPR, September 18, 2024. Article continues below with an exploration of the whys (mostly unknown) and some absolutely fucking incredible statistics.

Why the sudden and hopeful shift? Most experts say it's a mystery

While many people offered theories about why the drop in deaths is happening at unprecedented speed, most experts agreed that the data doesn't yet provide clear answers.

Some pointed to rapid improvements in the availability and affordability of medical treatments for fentanyl addiction. "Expansion of naloxone and medications for opioid use disorder — these strategies worked," said Dr. Volkow at NIDA.

"We've almost tripled the amount of naloxone out in the community," said Finegood. He noted that one survey in the Seattle area found 85 percent of high-risk drug users now carry the overdose-reversal medication.

Dr. Rahul Gupta, the White House drug czar, said the drop in drug deaths shows a path forward.

"This is the largest decrease on record and the fifth consecutive month of recorded decreases," he said.

Gupta called for more funding for addiction treatment and healthcare services, especially in Black and Native American communities where overdose deaths remain catastrophically high.

"There is no way we're going to beat this epidemic by not focusing on communities that are often marginalized, underserved and communities of color," Gupta said.

"Overdose deaths in Ohio are down 31 percent"

Indeed, in many states in the eastern and central U.S. where improvements are largest, the sudden drop in drug deaths stunned some observers who lived through the darkest days of the fentanyl overdose crisis.

"This year overdose deaths [in Ohio] are down 31 percent," said Dennis Couchon, a harm reduction activist. "The deaths were just plummeting. The data has never moved like this."

"While the mortality data for 2024 is incomplete and subject to change, Ohio is now in the ninth consecutive month of a historic and unexpected drop in overdose deaths," said the organization Harm Reduction Ohio in a statement.

Missouri is seeing a similar trend that appears to be accelerating. After dropping by 10 percent last year, preliminary data shows drug deaths in the state have now fallen roughly 34 percent in the second quarter of 2024.

"It absolutely seems things are going in the right direction, and it's something we should feel pleased about," said Dr. Rachel Winograd, director of addiction science at the University of Missouri St. Louis, who also noted that drug deaths remain too high.

"It feels wonderful and great," said Dr. Mark Levine, head of the Vermont Health Department. "We need encouraging data like this and it will help sustain all of us who are actively involved in trying to have an impact here."

Levine, too, said there's still "plenty of work left to do."" ...

Dasgupta, the researcher at the University of North Carolina, agreed more needs to be done to help people in addiction recover when they're ready.

But he said keeping more people alive is a crucial first step that seemed impossible only a year ago.

"A fifteen or twenty percent [drop in deaths] is a really big number, an enormous impact," he said, calling for more research to determine how to keep the trend going.

"If interventions are what's driving this decline, then let's double down on those interventions."

-article via NPR, September 18, 2024

[savejudyblog]

It's my BIRTHDAY and my only wish is to be SAFE‼️🎁

Today is my birthday, but instead of celebrating with cake and laughter, I’m holding a silicone bar (yeah, I couldn't find a real candle) with only one wish in my heart: to be safe.

Safety has become the greatest gift I could ever ask for, something so many of us take for granted, but for me and my family, it's a daily struggle. We live in constant uncertainty.

I feel I lost much weight 💔 do you think so???

Every day, I hope for peace, not just for myself but for everyone affected by the hardships of c🥺nflict.

My family’s journey has been a difficult one, and we are reaching out to the world for help, for a chance to survive and rebuild.

Your support - whether by sharing our story, offering resources, or even the smallest d💖nation - means the world to us.

VETTED by the butterfly effect project 🦋 line #223.

Please help spread the word so that one day, this candle will represent a light of hope, peace, and safety.

Thank you for being with me on this day, and for standing with my family during this time of need.

@timetravellingkitty @deathlonging @briarhips @mazzikah @mahoushojoe @sar-soor @rhubarbspring @schoolhater @pcktknife @transmutationisms @sawasawako @feluka @appsa @anneemay-blog @commissions4aid-international @wellwaterhysteria @mangocheesecakes @kyra45-helping-others @7bittersweet @tortiefrancis @ot3 @amygdalae @ankle-beez @communistchameleon @dykesbat @aristotel @komsomolk @neptunerings @riding-with-the-wild-hunt @heritageposts @watermotif @stuckinapril @mavigator @lacecap @determinate-negation @deepspaceboytoy @paper-mario-wiki @kibumkim @neechees @socalgal @chilewithcarnage @ghelgheli @sayruq @himejoshikaeya @rooh-afza

[feral-ballad]

Grigor Narekatsi, from Anthology of Armenian Poetry, ed. & tr. by Diana Der Hovanessian and Marzbed Margossian; "Book of Lamentations: Conversations with God, from the depth of my heart"

[randomreasonstolive]

Reason to Live #11292

   To watch your siblings grow up. – Guest Submission

(Please don't add negative comments to these posts.) 

[kayssmusings]

Sometimes the hardest part of existing without your loved ones was remembering how to breathe.

Quote: The Air He Breathes by Brittany C. Cherry

[madampresidentkamala]

[neuroconflictos]

Nadie entendía mis versos, solo ella que era la inspiración de ellos.

Hope

[quotelr]

When you see everything with love,everything looks at you with love.

Debasish Mridha

[reasonsforhope]

Study: Protecting the ocean helps fight malnutrition

"Protecting more of the ocean could slash the risk of malnutrition for up to 3 million people worldwide, according to a new study co-authored by Conservation International.

It found that fish catches in coral reefs could increase by up to 20 percent by expanding sustainable-use marine protected areas — that is, areas where some fishing is allowed with restrictions.

The benefits of marine protected areas in helping restore fish populations and ecosystems are well documented. However, perceptions persist that these protections come at the expense of local communities.

The new study challenges this view.

“It’s easy to think of protected areas as putting people and nature in conflict by restricting access to much-needed sources of nutrition for locals,” said Conservation International scientist Alex Zvoleff, a study co-author. “But what this study shows is that protecting nature isn't about walling off resources from people; protected areas can actually enhance what nature provides for people."

The study analyzed fish counts in nearly 2,500 coral reefs across 53 countries, focusing on the nutrients found in fish that are critical for human health. Researchers looked at sites with a range of protections — from complete bans on fishing to open access for fishing — and found that sustainable-use marine protected areas have on average 15 percent more fish biomass than non-protected areas.

The study pinpointed countries with the greatest potential to improve malnutrition through sustainable-use marine protected areas, including Bangladesh, India, Indonesia, Kenya, Madagascar, Mozambique and Nicaragua.

More than 800 million people face malnutrition worldwide, according to the World Health Organization. In many coastal communities, fish can be the only source of vital nutrients — particularly for children and pregnant women.

However, pollution, overfishing and climate change are severely degrading the coral reefs that support these fish. And though coastal communities make up a small portion of those struggling with malnutrition, the study shows that fighting food insecurity can go hand in hand with protecting nature, said Daniel Viana, the study’s lead author.

“There is often a push for marine protected areas to completely ban fishing — our goal is to show that it does not need to be all or nothing,” Viana said. “Allowing regulated fishing in marine protected areas can support healthy fish populations, while also having a positive impact on the quality of life of surrounding communities.”

The study’s findings are particularly significant as global efforts are under way to protect at least 30 percent of the planet’s land and marine ecosystems by 2030. Currently, only about 8 percent of the ocean is protected."

-via Conservation International, September 17, 2024

[miss0atae]

Hope in Jack & Joker: U Steal My Heart (EP 3)

Sexy, evil and proud of it!

[feral-ballad]

Gosdantin Erzengatsi, from Anthology of Armenian Poetry, ed. & tr. by Diana Der Hovanessian and Marzbed Margossian; "If there's a perfume to unhinge death's door"

[randomreasonstolive]

Reason to Live #11291

   Seeing a piece of work that you really love and telling the creator so! <3 – Guest Submission

(Please don't add negative comments to these posts.)

[kayssmusings]

It was amazing how our minds crafted stories for strangers who probably needed love more than our close-minded judgments.

Quote: The Air He Breathes by Brittany C. Cherry

[thepersonalwords]

Never lose hope! You are capable of holding on to hope.

Lailah Gifty Akita, The Wings of Hope: Survivor

[motivateurselflife]

[macrowitchphotography]

How many lights can you see in this picture, yet its still pitch black in that cave! Had to get the torch out to see the beautiful crystals!