Overdose Prevention Quotes

I now realize that education is a last wild effort on the part of the authorities to prevent an overdose of leisure from driving the world mad. Learning is no longer an improver; it is merely the most expensive time-filler the world has ever known.

According to the Centers for Disease Control and Prevention, in the quarter century following the introduction of OxyContin, some 450,000 Americans had died of opioid-related overdoses. Such overdoses were now the leading cause of accidental death in America, accounting for more deaths than car accidents—more deaths, even, than that most quintessentially American of metrics, gunshot wounds. In fact, more Americans had lost their lives from opioid overdoses than had died in all of the wars the country had fought since World War II.

The lessons learned, then, in Robinson's case: "Additional training is required to inform soldiers of the dangers of self-medicating along with the associated risk of overdosing" is the first. "Encourage the use of a battle buddy among warriors" is the second. "Increase suicide prevention classes" is the third. "Increase communication to twice a day with high-risk soldiers" is the fourth. "Continue improvements in leader communication" is the fifth. And that's that. Eight months. Five minutes. The army moves on to the next suicide. Case forever closed.

The ingestion of carbohydrates, especially the refined grains and sugars that are so prominent in the modern diet, causes a spike in blood sugar and a temporary energy boost. Then, because a glucose overdose is toxic in the bloodstream, insulin floods the bloodstream to remove any glucose you don’t burn immediately and stores it as either glycogen (in the liver and muscle tissues) or in the fat cells as triglyceride (the storage form of fat). When insulin removes glucose from your bloodstream and transports it into storage, you experience the familiar sugar crash and a craving for quick-energy carbohydrates. You have plenty of fat energy locked away in storage, but a high-insulin-producing diet prevents you from being able to access it. Instead, you become reliant on your next snack or meal for energy, and you exist in a state of carbohydrate dependency.

This is a particular problem in the U.S., which makes up less than 5% of the global population but consumes 80% of the world’s supply of opioid prescription drugs.4 By 2012, 15,000 Americans were dying each year from prescription pill overdoses, more than from heroin and cocaine combined.5 In 2013, the U.S. Centers for Disease Control and Prevention (CDC) named painkiller addictions the worst drug epidemic in U.S. history.

No state in America has taken more aggressive action to reduce the public’s exposure to chemicals, and to secondhand smoke, than California. California banned the sale of flavored tobacco, because it appeals to children, and the use of smokeless tobacco in the state’s five professional baseball stadiums. It prohibited the use of e-cigarettes in government and private workplaces, restaurants, bars, and casinos. San Francisco in late 2020 banned cigarette smoking in apartments.8 In the fall of 2020, California outlawed companies from using in cosmetics, shampoos, and other personal care products twenty-four chemicals it had deemed dangerous.9 And yet breathing secondhand smoke and being exposed to trace chemicals in your shampoo are hardly sufficient to kill. By contrast, hard drug use is both a necessary and sufficient cause to kill, as the 93,000 overdose and drug poisoning deaths of 2020 show. And yet, where the governments of San Francisco, California, and other progressive cities and states stress the remote dangers of cosmetics, pesticides, and secondhand smoke, they downplay the immediate dangers of hard drugs including fentanyl. In 2020, San Francisco even paid for two billboards promoting the safe use of heroin and fentanyl, which had been created by the Harm Reduction Coalition. The first had a picture of an older African American man smiling. The headline read, “Change it up. Injecting drugs has the highest risk of overdose, so consider snorting or smoking instead.” The second billboard’s photograph was of a racially diverse group of people at a party smiling and laughing. The headline read, “Try not to use alone. Do it with friends. Use with people and take turns.”10 When I asked Kristen Marshall of the Harm Reduction Coalition, which oversees San Francisco’s overdose prevention strategy, about the threat posed by fentanyl, she said, “People use it safely all the time. This narrative that gets it labeled as an insane poison where you touch it and die—that’s not how drugs work. It’s not cyanide. It’s not uranium. It’s just a synthetic opioid, but one that’s on an unregulated market.

I’m sympathetic to the idea of drug legalization as a response to this. We made a tragic mistake through the twentieth century in gradually criminalizing drugs that ought to have been dealt with—were being dealt with—medically. We created a profit center for mafias around the world. We stopped considering ways to reduce overdose deaths—studying, for example, how safe injection sites work elsewhere. Among other things, criminalization also prevented us from fully studying these drugs for their medicinal benefits and harms. The problem is, I don’t trust American capitalism to do drug legalization responsibly. The last fifty years are replete with examples of corporations turning addictive services and substances against us, fine-tuning their addictiveness, then marketing them aggressively. Remember when social media was going to be the great technological connective tissue, bringing people together, inaugurating a new era of understanding? Instead, it midwifed an era of virulent tribalism. The opioid epidemic began with legal drugs, irresponsibly marketed and prescribed. The Sacklers are only one example of a tendency that nestles into every corner of American capitalism when it is allowed to extract maximum profit from products and services that neuroscience shows our brains are vulnerable to. Meanwhile, alcohol and cigarettes kill more than any other drug by far, because they are legal and widely available. Alcohol also drives arrests and incarceration more than any other single drug. Our brains are no match for the consumer and marketing culture to emerge in the last few decades. They are certainly no match for the highly potent illegal street drugs now circulating.

Overdoses had now surpassed car accidents to become the leading cause of preventable death in America. In a midyear update to the Sacklers in June 2016, staffers told the family that, according to surveys, nearly half of all Americans knew someone who had been addicted to prescription opioids.

The twelve months ending September 2020 tallied the highest number of overdose deaths in the country’s history—87,000, according to a preliminary estimate by the Centers for Disease Control and Prevention. Much of that was due to illicit street fentanyl. By the time this book is published, we will likely have learned that close to 100,000 Americans died of drug overdoses in 2020—dwarfing any annual tally the country previously produced.

we fix the opioid crisis, we fix America,” one reader e-mailed me, envisioning a country where meaningful work, health care, and social supports become not only embedded into treatment protocols; they might one day serve as prevention strategies, too.

Liver dysfunction can run in families, like the iron-overload disease hemochromatosis. It can be caused by infections that can lead to liver cancer, or it can stem from drugs—most often inadvertent or intentional overdoses of Tylenol.4 The most common causes, however, are drink and food: alcoholic liver disease and fatty liver disease.

Studies have demonstrated that opioids may actually increase pain over the long run and that non-drug treatments are much more effective than opioid therapy. The federal Centers for Disease Control and Prevention has declared that painkiller overdose deaths are an official epidemic.

Sometimes it feels like there just aren’t enough hours in a day to get everything done. So instead of trying to make your day longer, why not make your life longer by an extra two years? That’s about how long your life span may be increased by eating nuts regularly—one handful (or about 30 grams) five or more days a week.1 Just that one simple and delicious act alone may extend your life. The Global Burden of Disease Study calculated that not eating enough nuts and seeds was the third-leading dietary risk factor for death and disability in the world, killing more people than processed meat consumption. Insufficient nut and seed intake is thought to lead to the deaths of millions of people every year, fifteen times more than all those who die from overdoses of heroin, crack cocaine, and all other illicit drugs combined.2

Neurosyphilis isn’t genetic. Yet we’ll see that Lord Randolph’s son Winston had a different mental illness, as did Winston’s daughter Diana, who had a major depressive episode in 1952 and committed suicide in 1963 by barbiturate overdose (despite being active in suicide prevention efforts). Churchill’s first cousin, called “Sunny,” also suffered severe depressive episodes throughout his life. Thus we find a familial

Refined added sugar causes astronomically more deaths and disability per year than COVID-19 and fentanyl overdoses combined. We need to see refined added sugar for what it is: an addictive, dangerous drug that has been included in 74 percent of foods in the U.S. food system and for which the body needs zero grams in a lifetime. Of all the levers most damaging our cells and preventing Good Energy, I believe the worst offender may be added sugar. This substance has become a mainstay of food that we and our children eat regularly. As Dr. Robert Lustig has noted, sugar shows up on labels in fifty-six different names and sneaks in everywhere.

Refined Added Sugar Refined added sugar causes astronomically more deaths and disability per year than COVID-19 and fentanyl overdoses combined. We need to see refined added sugar for what it is: an addictive, dangerous drug that has been included in 74 percent of foods in the U.S. food system and for which the body needs zero grams in a lifetime. Of all the levers most damaging our cells and preventing Good Energy, I believe the worst offender may be added sugar. This substance has become a mainstay of food that we and our children eat regularly. As Dr. Robert Lustig has noted, sugar shows up on labels in fifty-six different names and sneaks in everywhere. While dozens of types of refined sugar are added to foods, chief among the offenders is high-fructose corn syrup,